For Third Time, Humana Tennessee Medicare Advantage HMO Attains Medicare’s Highest Rating for 2023
07 October 2022 - 11:15PM
Business Wire
Achieving the highest possible rating of 5
stars means members in the statewide plan are not only highly
satisfied with Humana, but are also receiving quality health care
from clinicians who make them feel respected and valued
Leading health and well-being company Humana Inc. (NYSE: HUM)
today announced that, for the second year in a row, and the third
time overall, its statewide Humana HMO Medicare Advantage plan in
Tennessee has achieved the highest possible 5-star rating from the
Centers for Medicare & Medicaid Services (CMS).
Humana’s Cariten Health Plan Inc. in Tennessee, an HMO plan
offered in all of Tennessee’s 95 counties, is one of three Humana
plans in the nation to receive the 5-star rating, which reflects
the company’s commitment to high quality medical care and reliable
customer service.
“I tell everyone that they need Humana because they really care
about my health,” said Tennessee Humana member Patricia K. “I
really enjoy the personal customer service and the walking
incentive on my plan keeps me motivated to live healthier.”
Doug Haaland, Humana’s Medicare President for Tennessee and
Alabama, said achieving this rating for 2023 is significant because
CMS increased its focus on patient experience with increased
weighting for consumer satisfaction when assessing the quality of
plans.
“We are grateful to the doctors and their medical teams who are
treating our members in a way that makes them feel valued,
respected and not rushed, while providing the quality health care
they need,” Haaland said. “We’re also incredibly proud of our
entire Tennessee team as this score means that our members believe
we’re easy to do business with and would recommend our plans to
others.”
About Medicare Advantage
Medicare Advantage delivers financial savings to members in the
form of lower out-of-pocket costs and reduced premiums. Medicare
Advantage members reported spending nearly $2,000 less on
out-of-pocket costs, compared to fee-for-service Medicare. Medicare
Advantage plans also have limits on out-of-pocket costs. These
financial protections may be critical for older Americans on fixed
incomes.
Unlike fee-for-service Medicare, Medicare Advantage plans often
include affordable prescription drug coverage. For Humana members,
100 percent of the savings achieved through manufacturer rebates
and discounts in pharmacy programs are returned to members through
lower premiums and improved benefits.
Medicare Advantage plan members had more than a 30 percent lower
level of emergency room visits, and 40 percent lower level of
inpatient hospital care, compared to beneficiaries with
fee-for-service Medicare. In addition to improving health, these
outcomes demonstrate real savings for people with Medicare and the
health system. Medicare Advantage plans reinvest these savings by
expanding supplemental benefits, supporting providers and
coordinating care.
About Medicare Advantage
Enrollment
The Medicare Advantage and Prescription Drug Plan Annual
Election Period (AEP) begins Oct. 15 and continues through Dec. 7,
2022. During this enrollment period, people eligible for Medicare
can choose Medicare Advantage and Prescription Drug Plans for the
upcoming year – with coverage that takes effect Jan. 1, 2023.
People eligible for Medicare may make a one-time election to
enroll in a plan offered by an MA organization with a Star Rating
of 5 Stars during the year in which that plan has the 5-star
overall performance rating, provided the enrollee meets the other
requirements to enroll in that plan. This 5-star special election
is available Dec. 8 through Nov. 30 of the following year.
For more information about Humana’s 2022 Medicare offerings,
visit www.Humana.com/Medicare or call toll-free 1-888-372-2614
(TTY: 711). Licensed sales agents are available 8 a.m. to 8 p.m.
local time, seven days a week.
About CMS Star Ratings
The CMS rating system measures the excellence of Medicare plans
nationally each year. A plan may receive a rating between one and
five stars, with five stars representing the highest rating. CMS
uses information from member-satisfaction surveys, health plans,
and health care providers to assign overall Star Ratings to plans.
The rating system uses more than 40 different quality measures
across nine categories, including:
- Staying Healthy: Screenings, Tests and Vaccines
- Managing Chronic (Long Term) Conditions
- Member Experience with Health Plan
- Member Complaints and Changes in the Health Plan’s
Performance
- Health Plan Customer Service
- Drug Plan Customer Service
- Member Complaints and Changes in the Drug Plan’s
Performance
- Member Experience with Drug Plan
- Drug Safety and Accuracy of Drug Pricing
Additional information about the CMS Star Ratings can be found
at: www.medicare.gov.
About Humana
Humana Inc. is committed to helping our millions of medical and
specialty members achieve their best health. Our successful history
in care delivery and health plan administration is helping us
create a new kind of integrated care with the power to improve
health and well-being and lower costs. Our efforts are leading to a
better quality of life for people with Medicare, families,
individuals, military service personnel, and communities at
large.
To accomplish that, we support physicians and other health care
professionals as they work to deliver the right care in the right
place for their patients, our members. Our range of clinical
capabilities, resources and tools – such as in-home care,
behavioral health, pharmacy services, data analytics and wellness
solutions – combine to produce a simplified experience that makes
health care easier to navigate and more effective.
More information regarding Humana is available to investors via
the Investor Relations page of the company’s web site at
www.humana.com, including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission filings
- Most recent investor conference presentations
- Quarterly earnings news releases and conference calls
- Calendar of events
- Corporate Governance information
Humana is a Medicare Advantage HMO organization and a
stand-alone prescription drug plan with a Medicare contract.
Enrollment in any Humana plan depends on contract renewal. Every
year, Medicare evaluates plans based on a 5-star rating system.
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Nancy A. Hanewinckel Humana Corporate Communications
941.585.4763 nhanewinckel1@humana.com
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